NPI | 1447419643 |
---|---|
Other Name | AMY LEE GLENN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A01132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01132) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2016-01-25 |