| NPI | 1649618356 |
|---|---|
| Other Name | JACQUELINE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 5467) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22903) |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 5467) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA PA22903) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-03-18 |