| NPI | 1568969632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA WILLIAMS Owner 918-728-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 82637) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-06-11 |