| NPI | 1801280839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENITA J BARNES Clinical Director 314-436-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2014036356) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |