NPI | 1346732294 |
---|---|
Former Name | ASHLEY ELAINE GLANZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001448) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R044193) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-09-27 |