NPI | 1275081986 |
---|---|
Former Name | MICHELLE KNIGHTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2149) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC505) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2020-04-27 |