NPI | 1588613129 |
---|---|
Former Name | ENGLISH LEE BAKER GLAUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NC 0001-04013) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA19680) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2021-05-10 |