NPI | 1508235508 |
---|---|
Former Name | NANCY LEE GLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN032196) |
Enumeration Date | 2015-09-20 |
Last Update Date | 2020-12-18 |