NPI | 1407497605 |
---|---|
Former Name | MICHELLE GLOWCZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995094-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995094-NP) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2025-06-26 |