| NPI | 1285310425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOISE WAMEITHI Nurse Practitioner 913-710-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-07-17 |