NPI | 1205382496 |
---|---|
Former Name | RACHEL GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025514) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.025514) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2024-07-16 |