NPI | 1831117787 |
---|---|
Former Name | DONNA LYNN PAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 0001149387) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168152) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001149387) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-11-21 |