NPI | 1598183444 |
---|---|
Former Name | PATRICIA LYNN GLLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A156269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A156269) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-28 |
Last Update Date | 2023-01-18 |