| NPI | 1639234016 |
|---|---|
| Former Name | CYNTHIA L GLASGOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8983549-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: UT 8983549-1206) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-06-28 |