| NPI | 1528393097 |
|---|---|
| Former Name | MARY L KNOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.007815) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-01-29 |