| NPI | 1235343120 |
|---|---|
| Former Name | TINA MARIE GRECO |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273241) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 273241) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-02-06 |