Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | FT577 | KY |
NPI | 1265936421 |
---|---|
Provider Name | Dr. Maria Carolina Herrand |
First Address | Louisville, KY 40202-3840 |
Second Address | Louisville, KY 40202-3840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 22/03/2018 |