NPI | 1740431154 |
---|---|
Former Name | MARLA S KNECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002822A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150368) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2013-09-03 |