NPI | 1164844312 |
---|---|
Former Name | ALLISON N GLASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019647) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041.387154) |
Enumeration Date | 2014-01-07 |
Last Update Date | 2019-08-15 |