| NPI | 1396811386 |
|---|---|
| Former Name | TARA L MAZZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N0257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N0257) |
| 208000000X Pediatrics (Licence: NV DO2005) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV DO2005) | |
| 208D00000X General Practice (Licence: TX N0257) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-09-09 |