| NPI | 1902057482 |
|---|---|
| Former Name | BRIDGETTE JUDE SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004195-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60046796) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2013-11-06 |