| NPI | 1538553136 |
|---|---|
| Former Name | ELLEN PATRICIA KNOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0014070) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-06-05 |