| NPI | 1538819529 |
|---|---|
| Former Name | MONICA MARION MAZUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME165113) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN35080) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-06-18 |