NPI | 1881891620 |
---|---|
Entity Type | Organization |
Authorized Contact | VIJAYALAKSHMI VELLAICHAMY Adult Register Nurse Pracitioner 314-842-0602 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2002031628) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-11-05 |