| NPI | 1841756145 |
|---|---|
| Former Name | MARIAH ANGELA GLASSCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25627) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 204986) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-10-14 |