| NPI | 1073195178 |
|---|---|
| Former Name | EDWIN VLADIMIR GAVARRETE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11030612) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1042492) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-03-01 |