| NPI | 1548773690 |
|---|---|
| Former Name | CAROLINE N BAUKNECHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11385) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3451) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2023-01-12 |