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 |