NPI | 1508815267 |
---|---|
Former Name | MICHELLE A. POLLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 2501) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 2501) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2013-08-23 |