| NPI | 1033194386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIT A JAMRY President 314-367-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2011-08-11 |