| 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 |