| NPI | 1912432741 |
|---|---|
| Former Name | HILLARY LYNN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9110122) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9110122) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2019-06-11 |