| NPI | 1649631177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SMITH CEO 248-961-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-05-03 |