| NPI | 1811044233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE A ROBERTS Np 636-294-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 103362) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-07-30 |