| NPI | 1285102681 |
|---|---|
| Former Name | JULIA ELIZABETH GLENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT7776) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-29 |