| NPI | 1518488436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMINE SIMMONS Owner 816-786-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2013007652) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |