NPI | 1851520050 |
---|---|
Professional Name | JULIA STACY GLICKSBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2001-01937) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL1280) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2023-12-13 |