NPI | 1700985793 |
---|---|
Other Name | AMY M GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1922) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC038) |
363A00000X Physician Assistant (Licence: KY PA985) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2013-01-21 |