| NPI | 1023270469 |
|---|---|
| Former Name | JAMIE LYNN KNUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: WI 65623) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME116201) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-07-25 |