| NPI | 1245720705 |
|---|---|
| Other Name | SKY P GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017535) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-10-30 |