| NPI | 1700642022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN OYOMERE ERUE Nurse Practitioner 918-815-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |