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 | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 235000) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI LP00109) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 235000) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2025-08-05 |