| NPI | 1982725347 |
|---|---|
| Former Name | JEANNETTE A. GLOTZBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-20887) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO R1F44) |
| 208D00000X General Practice (Licence: KS 0420887) | |
| 208D00000X General Practice (Licence: MO R1F44) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-09 |