NPI | 1932173895 |
---|---|
Former Name | KIMBERLI S. KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117536) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1707) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-09-12 |