NPI | 1659748556 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE DEWBRE Advanced Practice Nurse / Owner 405-527-4704 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 49456) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-08-26 |