NPI | 1740606623 |
---|---|
Former Name | SHEVEEN RASHEMA GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP013467) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013467) |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013467) | |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |