| NPI | 1609340058 |
|---|---|
| Other Name | ALICIA MICHELLE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1010977) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1010977) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-02-13 |