| NPI | 1467701805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HENMAN Director 314-369-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2010015977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 100863) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-09-11 |