| NPI | 1811351026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY NICOLE HOBSON CEO 248-417-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704210540) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-06-07 |