| NPI | 1881004158 |
|---|---|
| Former Name | STEPHANIE JO KNAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101277749) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2019-00395) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2024-11-01 |