| NPI | 1538596077 |
|---|---|
| Former Name | REBECCA D SHEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9252) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 9252) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA058852) | |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110004373) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-08-05 |