| NPI | 1811776735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KNOTT Nurse Practitioner 346-246-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-26 |