NPI | 1417541954 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMIKO L PARKS Administrator 248-798-3969 |
Organization Subpart ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-02-25 |