NPI | 1407589484 |
---|---|
Other Name | POLLARA ANTONIA B COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |