| NPI | 1932131547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROSE LIANA Nurse Partitioner 906-225-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4301109906) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |