NPI | 1902349160 |
---|---|
Entity Type | Organization |
Authorized Contact | VERA JABER President 313-384-3069 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267744) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2022-07-21 |