| NPI | 1285231985 |
|---|---|
| Former Name | KRISTY MARIA MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009630) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11009630) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-04-22 |