| NPI | 1689747974 |
|---|---|
| Former Name | MARY P SHEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R103005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024066457) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-02 |