NPI | 1982960639 |
---|---|
Former Name | ANNORA MARIE SHEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: IL 090.010439) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: NC 6731) |
174M00000X Veterinarian (Licence: MI 6901010070) | |
Enumeration Date | 2012-04-06 |
Last Update Date | 2013-04-01 |