| NPI | 1548656705 |
|---|---|
| Former Name | ELIZABETH ANN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208800000X Urology (Licence: TN 64984) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-03-06 |