| 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 |