| NPI | 1386881456 |
|---|---|
| Former Name | KRISTY L CARTER-MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001055A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005531RX) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2021-05-12 |