| NPI | 1679976732 |
|---|---|
| Former Name | STEFANIE A GLIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 075480) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005343) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2021-04-07 |