| NPI | 1740042480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA ROBINSON Family Nurse Practitioner 314-226-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-06-01 |