NPI | 1154760031 |
---|---|
Former Name | MEGAN B GLASTETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012033846) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A136307) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2024-10-23 |