NPI | 1265426860 |
---|---|
Former Name | SONJA ABIGAIL GREENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1194012) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95080546) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2022-02-02 |