NPI | 1558332700 |
---|---|
Former Name | ANNA L GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007141) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00140111) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2010-01-21 |