| NPI | 1104167873 |
|---|---|
| Former Name | MARTHA JEAN KOESKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60606670) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LDD10147787) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2019-03-19 |