NPI | 1306953120 |
---|---|
Former Name | CHRISTIE LEE MAZURK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34007422M) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34-007422) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2022-01-25 |