| NPI | 1093004483 |
|---|---|
| Former Name | MONIQUE POLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.12265-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 12265) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.299013) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-06-21 |