| NPI | 1013216399 |
|---|---|
| Former Name | LAURA COY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007801) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1791) |
| 363A00000X Physician Assistant (Licence: OH 50.004959RX) | |
| 363AM0700X Physician Assistant, Medical (Licence: KS 15-01544) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2021-08-31 |