| NPI | 1295363190 |
|---|---|
| Former Name | TAYLOR GLENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 25990) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 12439643-1205) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-07-11 |