NPI | 1265239677 |
---|---|
Former Name | SARA ELIZABETH GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP033100) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA RN707833) |
363L00000X Nurse Practitioner (Licence: PA SP033100) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP033100) | |
Enumeration Date | 2025-02-25 |
Last Update Date | 2025-07-02 |