| NPI | 1316196298 |
|---|---|
| Former Name | KIRSTEN LAFAYE MCKOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01491) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01491) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2015-03-13 |