| NPI | 1265171250 |
|---|---|
| Former Name | GRACE MARY POLGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011118) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-02-08 |