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 |