| NPI | 1841462603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI WHEATON Owner 918-291-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0049248) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: OK R0049248) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |