NPI | 1164608675 |
---|---|
Former Name | LAURA ANNE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP21815) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 79112) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP009633) | |
Enumeration Date | 2008-01-15 |
Last Update Date | 2022-10-05 |