| 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 |