| 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 |