NPI | 1881134831 |
---|---|
Former Name | ABBY POLLICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08791) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058887) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2020-03-18 |