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 |