| NPI | 1255543179 |
|---|---|
| Former Name | AMANDA LYNNE GLASSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 50141) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 50141) |
| 208000000X Pediatrics (Licence: DE C1-0025959) | |
| 208000000X Pediatrics (Licence: MI 4301083796) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-10-11 |