NPI | 1932369998 |
---|---|
Former Name | AMANDA ELIZABETH GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CO DR.0047587) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0047587) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2025-06-17 |