| NPI | 1538503941 |
|---|---|
| Former Name | INDIA ALISA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 92654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 223297) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-11-12 |