| NPI | 1952102295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINE W NGAMELUE-KOUEMO Ap RN C, Pmhnp Bc 405-873-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |