NPI | 1518539303 |
---|---|
Other Name | DEBRA RAE POLLAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2021034045) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-07-12 |
Last Update Date | 2022-09-15 |