| NPI | 1417960048 |
|---|---|
| Former Name | ELIZABETH A GLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06182) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085002291) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-04-30 |