| NPI | 1417924358 |
|---|---|
| Former Name | SHERRI LEANN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105795) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105795) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2025-03-31 |