NPI | 1407275621 |
---|---|
Former Name | EMILY KATHARINE GLASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 31311) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-15 |
Last Update Date | 2023-05-08 |