| NPI | 1083885206 |
|---|---|
| Former Name | JANA NICOLE POLSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003713) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003188) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2013-02-18 |