NPI | 1336843085 |
---|---|
Former Name | BRIANNA POLACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AR 223760) |
Enumeration Date | 2023-03-28 |
Last Update Date | 2023-08-03 |