| NPI | 1649038258 |
|---|---|
| Former Name | ANNIE LAURA KNOEBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15002-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15002-33) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-06-18 |