| 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 |