| NPI | 1558809954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMECCA DIANE COWART Family Nurse Practitioner 313-207-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MI 4704277432) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |