| NPI | 1881202745 |
|---|---|
| Former Name | TARYN MAHAFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C168802) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C168802) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2020019714) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-08-26 |