NPI | 1528167145 |
---|---|
Former Name | PAULA JEAN KNAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14430) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 119371) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2022-07-21 |