NPI | 1083867832 |
---|---|
Former Name | ALEXIS E COY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11543) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 908019) |
Enumeration Date | 2008-10-24 |
Last Update Date | 2017-01-31 |