| NPI | 1902279110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONA D GIBBS Nurse Practitioner 573-686-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 0236239) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |