Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 051298 | MO |
NPI | 1003120825 |
---|---|
Provider Name | Barbara Ann Giese |
First Address | Saint Louis, MO 63141-6879 |
Second Address | Saint Louis, MO 63141-6879 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2010 |
Last Update Date | 04/08/2010 |