NPI | 1356557078 |
---|---|
Former Name | COLLEEN MARIE GLAIR-GAJEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1006477) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001196050) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-03-03 |