| NPI | 1851062517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON DANIELLE PETERSON Nurse Practitioner, Owner 918-724-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |