| NPI | 1578696092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Supervisor 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-11-15 |