| NPI | 1801421870 |
|---|---|
| Former Name | MACY TIATTI HEPA-CYR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX 1174419) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2025-10-31 |