| NPI | 1396139069 |
|---|---|
| Former Name | KIMBERLY NOELLE KNIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2014) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 076849) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-06-13 |