| NPI | 1689193252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE UNDINE SMITH Owner/ Pediatrician 301-236-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0064412) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |