| NPI | 1164519286 |
|---|---|
| Former Name | LISA J GLASSFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 071172) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN APN10992) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-02-17 |