| NPI | 1033655915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDEON W OFISI Nurse Practitioner 316-807-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132772) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |