NPI | 1598938532 |
---|---|
Former Name | CARRIE CAMPBELL MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 46451) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 46457) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2022-03-28 |