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 |