| NPI | 1013702265 |
|---|---|
| Former Name | AIDEN TARDIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11097) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ SH3107) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-08-19 |