NPI | 1679879472 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI KAMMERER Owner 405-688-9801 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R89215) |
Enumeration Date | 2011-01-27 |
Last Update Date | 2011-02-23 |