| NPI | 1710399159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ANN AUGUSTYNIAK Family Nurse Practitioner 314-452-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |