| NPI | 1003122532 |
|---|---|
| Former Name | AMBER RENEE KOEPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 708221) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10024421) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2024-07-13 |