NPI | 1275842080 |
---|---|
Former Name | GREER K MAHONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 2639) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 2639) |
363A00000X Physician Assistant (Licence: TN PA2639) | |
Enumeration Date | 2010-09-28 |
Last Update Date | 2022-03-16 |