NPI | 1235393281 |
---|---|
Former Name | SHAILEN FLORENCE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09732200) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD440210) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2022-03-01 |