NPI | 1952646184 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA S SAWYERS Administrator 417-269-6583 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2001018430) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-11-28 |