NPI | 1619932464 |
---|---|
Former Name | MEGAN K SHEEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15784) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA15784) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2022-08-15 |