| NPI | 1932817228 |
|---|---|
| Former Name | SHEA FEARNEYHOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R261659) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1055896) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-10-18 |