| NPI | 1992362305 |
|---|---|
| Former Name | KELLY DIANA KNEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006713) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-08695) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-05-24 |