| NPI | 1811145873 |
|---|---|
| Former Name | KASSIA ROSE KNUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08840) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.002798) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-12-10 |