NPI | 1942761671 |
---|---|
Former Name | MELISSA ZAVISLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 72444) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-26 |
Last Update Date | 2022-08-11 |