| NPI | 1063858785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOISANGVANE ALINA QUY Owner 405-213-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 96349) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |