| NPI | 1770834483 |
|---|---|
| Former Name | JENNIE MARIE KNOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0990465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0165688) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2015-09-15 |