| NPI | 1861233983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEMA TITUS MSHANA Office Manager 913-602-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-10-23 |