NPI | 1295456762 |
---|---|
Former Name | MEAGAN PAYNE POLLINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209025849) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.025849) |
Enumeration Date | 2022-09-05 |
Last Update Date | 2023-02-07 |