| NPI | 1407824154 |
|---|---|
| Former Name | ALICE GARRY MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301107789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107789) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD426993) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-12-07 |