NPI | 1609037100 |
---|---|
Former Name | KATHERINE ANN KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX q0952) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-06-18 |
Last Update Date | 2022-04-26 |