| NPI | 1265724900 |
|---|---|
| Former Name | CHARALENE R GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E10816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E10816) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-09-25 |