| NPI | 1598239881 |
|---|---|
| Former Name | SHELBY POLAKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021487) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN170813) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 229089) | |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2022-09-06 |