| NPI | 1467046557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA RUTH MARRONI Provider 734-546-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |