| NPI | 1255378980 |
|---|---|
| Former Name | GINNY GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 009358-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009358) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-03-23 |