| NPI | 1720424450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA R KNOTT Practice Manager 240-417-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R120765) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2015-12-08 |