| NPI | 1275879934 |
|---|---|
| Former Name | BROOKE ELAYNE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123029) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2020-07-22 |