| NPI | 1861141582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ELLEN GRZYBOWSKI Sole Member/RN Fa 405-708-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |