| NPI | 1104974518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MATEJKA CFO East Communities & Sfo 314-251-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 150546) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-12-24 |