NPI | 1134520182 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE ELAINE BRUNSTROM-HERNANDEZ Managing Member/ Director 314-223-3306 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX M5074) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2016-01-15 |