NPI | 1710869862 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI PIERSANTI CEO 682-444-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-07-21 |