NPI | 1790741270 |
---|---|
Former Name | PATRICIA A GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 4611) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 300814) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2010-05-26 |