| NPI | 1780090860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L STORM President 816-587-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO RN2012029116) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |