| NPI | 1184053860 |
|---|---|
| Former Name | KATIE ANN KOERBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09701) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107638) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-01-31 |