| NPI | 1558652123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D. GRIMMETT Owner 405-226-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0070265) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |