NPI | 1366896359 |
---|---|
Former Name | JULIE GLASSCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 74271) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 62689) |
Enumeration Date | 2016-04-16 |
Last Update Date | 2025-01-02 |