NPI | 1306097464 |
---|---|
Former Name | KATHLEEN ELIZABETH KNEBELSBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO 2008030514) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2014-01-31 |