NPI | 1538718267 |
---|---|
Former Name | MARY GREER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX PA13331) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-09-05 |
Last Update Date | 2022-09-05 |