| NPI | 1508732447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE NGANG NGWAINBI Np 313-505-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |