| NPI | 1972892149 |
|---|---|
| Former Name | AMY MICHELLE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101278519) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0079186) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-10-26 |