| NPI | 1447239470 |
|---|---|
| Former Name | DEBRA MAZZUCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1741172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 782915) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2014-01-13 |