| NPI | 1679762710 |
|---|---|
| Former Name | MARY GREAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 102200) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN8941) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-07-09 |