| NPI | 1821859588 |
|---|---|
| Former Name | CHRISTINA LYNN KNODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-07-02 |