| NPI | 1932572336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYNE OGOLA-MWANGALE President 248-636-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704296484) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |