| NPI | 1619204476 |
|---|---|
| Former Name | ELLEN MCCARLEY O'SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 50432) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013015923) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2019-12-20 |