| NPI | 1609242619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SECIL A SCHODROSKI Owner 314-722-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014014296) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |