NPI | 1578047577 |
---|---|
Former Legal Business Name | SARAH KIRONDE |
Entity Type | Organization |
Authorized Contact | SARAH KIRONDE CEO 313-932-2163 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LG0600X Nurse Practitioner, Gerontology | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2018-09-17 |
Last Update Date | 2018-09-17 |