NPI | 1205408481 |
---|---|
Entity Type | Organization |
Authorized Contact | KALLI WOLF Owner, Clinician 405-203-5382 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 367A00000X Advanced Practice Midwife |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-07-15 |