| NPI | 1497271829 |
|---|---|
| Former Name | JOCELYN ANNE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 1022379) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1022379) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2025-09-20 |