NPI | 1003955774 |
---|---|
Other Name | FAYE F KOERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R038325) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R038325) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-03-03 |