| NPI | 1174974661 |
|---|---|
| Other Name | GLADYS LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.001014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014371) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2023-06-14 |