NPI | 1962814616 |
---|---|
Former Name | ANDREA L. MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008755) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1123553) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2023-03-01 |