| NPI | 1891955423 |
|---|---|
| Former Name | LEAH MARIE POLLASTRINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 089704) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110002709) |
| 363A00000X Physician Assistant (Licence: VA 0110002709) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-04-25 |