| NPI | 1427757236 |
|---|---|
| Former Name | IRINA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11010330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9363903) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |