NPI | 1255144580 |
---|---|
Former Name | MELISSA POLLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: ND 200508) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2025-01-30 |
Last Update Date | 2025-01-30 |