| NPI | 1043726144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMIKO L DREW Proprietor/Nurse Practitioner 313-587-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704177492) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-11-11 |