NPI | 1184065211 |
---|---|
Former Name | JACQUELINE ANNE POLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: OH 1473) |
Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: OH 1473) |
2279G1100X Respiratory Therapist, Registered, General Care (Licence: OH 1473) | |
Enumeration Date | 2013-07-17 |
Last Update Date | 2013-07-17 |