| NPI | 1164743829 |
|---|---|
| Former Name | CAROLYN MARIE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 53992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54176) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 54176) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TPME4874) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-02-20 |