| NPI | 1568607083 |
|---|---|
| Former Name | JILL C GLAZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD29280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD29280) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2013-08-21 |