| NPI | 1831691393 |
|---|---|
| Former Name | SANDRA LEE GRECO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 222204-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 222204-3102) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: UT 222204-4405) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |