| NPI | 1598041741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SOLOMON Medical Director 314-517-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-07 |