NPI | 1255538575 |
---|---|
Former Name | JENNIFER CHRISTINE KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35129662) |
Additional Taxonomies | 208600000X Surgery (Licence: WV 22404) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2022-12-21 |