| NPI | 1407391147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER HURAIBI Cmo 734-699-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704251692) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |