| NPI | 1194068361 |
|---|---|
| Former Name | KATHRYN MAE KOEBBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.14097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 14097) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2025-04-01 |