NPI | 1013272350 |
---|---|
Former Name | KRISTINA ELIZABETH GLOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0060700) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101019716) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2023-05-04 |