| NPI | 1578988192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY NICOLE HOBSON Nurse Practitioner 248-497-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704210540) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-20 |