| NPI | 1841702586 |
|---|---|
| Former Name | NANCY MARIE POLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704214040) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-10-24 |