| NPI | 1275623514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MAKARA Nurse Practitioner 313-343-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704185278) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-07-21 |