NPI | 1003280793 |
---|---|
Former Name | MEGHAN C KNAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019370) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 19370) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2023-07-03 |