NPI | 1538728795 |
---|---|
Former Name | MARY ZAVICAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007095) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN95179984) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2022-01-25 |