| NPI | 1912683954 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LUCY M. GICHIRU Nurse Practitioner 913-413-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |