| NPI | 1780152850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA WEBB RN 405-476-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |