NPI | 1669100970 |
---|---|
Former Name | ANDRIAH POLLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA18919) |
Additional Taxonomies | 363A00000X Physician Assistant |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-13 |
Last Update Date | 2025-04-03 |