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 |