NPI | 1134954670 |
---|---|
Former Name | MORGAN JAYE MCCARDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID 7361470) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 7361470) |
Enumeration Date | 2024-09-04 |
Last Update Date | 2025-07-23 |