NPI | 1053667956 |
---|---|
Former Name | HEATHER CHERIE POLLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 1137) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2012-07-28 |
Last Update Date | 2020-08-25 |