| NPI | 1558882282 |
|---|---|
| Former Name | MARY JOAN GREENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN23070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN157810) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 23070) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-02-25 |