| NPI | 1508443300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRIANNA SPARKS Owner/Provider 405-659-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-05-14 |