| NPI | 1235585548 |
|---|---|
| Former Name | SHANNON MAZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0062368) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-07-28 |