| NPI | 1811233760 |
|---|---|
| Former Name | SHEA A MARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2013006310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013006310) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2024-12-13 |