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 |