| NPI | 1114510401 |
|---|---|
| Former Name | KATIE LYNN KOTH, TWOMEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 75471) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-03-24 |