| NPI | 1417223884 |
|---|---|
| Former Name | ANDREA GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R163884) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2276574) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2015-12-23 |