NPI | 1962457580 |
---|---|
Former Name | KATHLEEN E. SHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003018) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-05-23 |
Last Update Date | 2024-04-24 |