| NPI | 1518953447 |
|---|---|
| Former Name | TRACI MICHELLE PAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 070424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 151906) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-10-28 |