NPI | 1043430077 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA N SANFORD President 918-423-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0062969) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |