| NPI | 1962822759 |
|---|---|
| Former Name | LAURA ROSALIE KNOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101261370) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2018-08-10 |