| NPI | 1801152988 |
|---|---|
| Former Name | TANEISHA L GREER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056771) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-01-02 |