NPI | 1679914113 |
---|---|
Former Name | JULIE A MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003909) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003909) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2022-07-13 |