| NPI | 1376017889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA AUDREY WILLIAMS Exective Director 231-845-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |