NPI | 1497242424 |
---|---|
Former Name | MARY ELIZABETH GEEZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11393288-1205) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2019-09-17 |