| NPI | 1174187884 |
|---|---|
| Former Name | ASHLEY A KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226556) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-08-10 |