NPI | 1073391025 |
---|---|
Former Name | KATE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70010852) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: UT 11782414-3102) |
Enumeration Date | 2023-09-20 |
Last Update Date | 2025-07-22 |