| NPI | 1114818762 |
|---|---|
| Former Name | RYLAN SAVANAH GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036094) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95036094) |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-09-15 |