Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 003460 | CT |
Y | 225XE1200X | Ergonomics | 003460 | CT |
NPI | 1902139199 |
---|---|
Provider Name | Ms. Mary Elizabeth Shaheen |
First Address | Wilton, CT 06897-2006 |
Second Address | Wilton, CT 06897-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2009 |
Last Update Date | 07/09/2009 |