| NPI | 1578865952 |
|---|---|
| Former Name | MEGAN PAMELA KNAEBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11292) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1862) |
| 363A00000X Physician Assistant (Licence: IL 085.003910) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2018-03-17 |