| NPI | 1174557714 |
|---|---|
| Other Name | BETSY GLENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9387) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2369-023) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-03-11 |