| NPI | 1952032054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEMA TITUS MSHANA Office Manager 913-706-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-04-18 |