| NPI | 1902126840 |
|---|---|
| Former Name | GRETA ADELE HANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.206995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 24809) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-11-20 |