| NPI | 1053070144 |
|---|---|
| Former Name | CASEY MAE POLASKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA66268) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011682) |
| 363A00000X Physician Assistant (Licence: MD C0008278) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2026-06-02 |