| NPI | 1902431653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA LEANNE LATOZAS CEO/Owner 248-563-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-01-21 |