| NPI | 1972778553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LOUIS KELLER Cerified RN First Assistant 636-397-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: MO 079627) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |