| NPI | 1902098718 |
|---|---|
| Other Name | DESIREE GLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 420207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 420207) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-10-27 |