| NPI | 1144436411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL R PERRY Manager 248-221-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-04-16 |