| NPI | 1952594194 |
|---|---|
| Former Name | EMILY JANE GLEICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006754) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-112531) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-09-10 |