| NPI | 1144648353 |
|---|---|
| Other Name | JENNIE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KY 50104) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-05-05 |