NPI | 1134521479 |
---|---|
Former Name | TESSA CAMERON GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 235656) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95000904) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2021-10-23 |