| NPI | 1376072082 |
|---|---|
| Former Name | MAIRE SHAUGHNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020829) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-12-05 |