| NPI | 1841465390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA CABRERA President 816-463-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036065550) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |