| NPI | 1003111824 |
|---|---|
| Former Name | GLENDA LAINE SASSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN111985 NP) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |