NPI | 1093237083 |
---|---|
Former Name | JULIE ELIZABETH KNOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110452) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9110452) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2022-07-21 |