| NPI | 1316390198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY IMMING President 636-578-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2007019869) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |