| NPI | 1962859090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODERICK Nurse Practictioner 816-271-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 138383) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |