| NPI | 1346562485 |
|---|---|
| Former Name | VANESSA DAWN GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1107307) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2014-03-03 |