NPI | 1790209617 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA MARIA HUET-VAUGHN President 913-522-5874 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376658081) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0419814) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-07-21 |