| NPI | 1841947686 |
|---|---|
| Other Name | NICKY GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A167950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 115694) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-04-08 |