NPI | 1437574902 |
---|---|
Former Name | RACHEL NICOLE MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 18322) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18322) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2022-07-21 |