| NPI | 1831291376 |
|---|---|
| Former Name | MELISSA ANNE MAZUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WA MD60949136) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: OH 35080075) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2021-12-29 |