NPI | 1184000903 |
---|---|
Former Name | CHELSEA KATHLEEN KOENIGSEKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17383-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.399547-1) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2015-08-04 |