| NPI | 1205007309 |
|---|---|
| Former Name | SUSAN ELIZABETH MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 652379) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2018-05-25 |