NPI | 1609298587 |
---|---|
Former Name | ALYSSA POLLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1130547) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 5578-33) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2025-08-20 |