| NPI | 1083085997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA EBURUCHE Owner 313-300-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704236723) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |