| NPI | 1386039691 |
|---|---|
| Former Name | MICHELE CARA POLISKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101279279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 26736) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-03-07 |