NPI | 1730744988 |
---|---|
Former Name | CAROLINE SUZANNE SHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID O-1826) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-05-03 |
Last Update Date | 2023-08-30 |