| NPI | 1750779708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROEBUCK President 248-932-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4301065408) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |