NPI | 1750005039 |
---|---|
Former Name | REBECCA GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11035094) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN702986) |
Enumeration Date | 2022-09-29 |
Last Update Date | 2024-09-09 |