| NPI | 1790148427 |
|---|---|
| Other Name | JESSICA GLATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-03216) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-03216) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2020-11-04 |