| NPI | 1346649746 |
|---|---|
| Former Name | GLORIA VANOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3008761) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2017-08-17 |