| NPI | 1508150319 |
|---|---|
| Former Name | JENNIFER GLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024168682) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0024168682) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024168682) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-10-25 |