| NPI | 1013954601 |
|---|---|
| Professional Name | MARILEE SUE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: MO 128845) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 128845) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-05-03 |