| NPI | 1740918754 |
|---|---|
| Former Name | SARA GLOMSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13424-033) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 232463) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2024-06-12 |