| NPI | 1205825296 |
|---|---|
| Former Name | JULIANNE GLANCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 063653-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 063653-23) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-10-31 |