NPI | 1356674840 |
---|---|
Former Name | M DENISE POLLARD-MANIAGULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN234981) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381487) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2019-01-30 |