| NPI | 1689078974 |
|---|---|
| Former Name | AMY ELIZABETH KNISSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61143707) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1390) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2023-07-31 |