| NPI | 1730942681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LEE ECHOLS Family Nurse Practitioner 313-773-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-07-09 |