| NPI | 1720076458 |
|---|---|
| Other Name | SUSAN MARIE SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME 1409) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14943) |
| 207Q00000X Family Medicine (Licence: ME 1409) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2024-05-23 |