NPI | 1134211006 |
---|---|
Other Name | CAROL GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ0000192) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NJ NN07231100) |
363LP0200X Nurse Practitioner Pediatrics (Licence: DE L10023808) | |
363LP0200X Nurse Practitioner Pediatrics (Licence: DE LJ0000192) | |
363L00000X Nurse Practitioner (Licence: DE L10023808) | |
363L00000X Nurse Practitioner (Licence: NJ NN07231100) | |
363L00000X Nurse Practitioner (Licence: NJ NR07231100) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2012-10-10 |