| NPI | 1124112248 |
|---|---|
| Former Name | SHALISE RANAE POLLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15075) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 560836) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-02-19 |