| NPI | 1083276547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN PERRY Family Nurse Practitioner 313-715-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 364SH1100X Clinical Nurse Specialist, Holistic |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |