| NPI | 1518141563 |
|---|---|
| Former Name | PATRICIA ANN KNOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-725) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-725) |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA60944866) | |
| 363A00000X Physician Assistant (Licence: ID PA725) | |
| 363AM0700X Physician Assistant, Medical (Licence: ID PA-725) | |
| 363A00000X Physician Assistant (Licence: WA PA60944866) | |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60944866) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-01-29 |