NPI | 1194068361 |
---|---|
Former Name | KATHRYN MAE KOEBBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 14097) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14097) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2020-11-20 |