| NPI | 1013043256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NEALOUS BROWN Registered Nurse 313-778-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704229459) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2020-08-22 |