| NPI | 1295129609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENITA J BARNES Clinical Director 314-436-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012009252) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |