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 |