| NPI | 1073843033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIE ROSS-MOORE Nurse Practi CIO Ner 314-324-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 088713) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-06-24 |