| NPI | 1659350361 |
|---|---|
| Former Name | DOROTHY MARIE KNAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 16710) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16710) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-09-25 |