| NPI | 1003847054 |
|---|---|
| Former Name | GLENDA YDROVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 36289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0067130) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-10-27 |