| NPI | 1962287219 |
|---|---|
| Other Name | AL GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86295617) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT88819) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |