| NPI | 1215134820 |
|---|---|
| Former Name | REBECCA ANN KNODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME129232) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 47127) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-10-16 |