| NPI | 1770700288 |
|---|---|
| Former Name | THERESA J GLIDDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 235000) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI LP00109) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-09-28 |