| NPI | 1215452081 |
|---|---|
| Former Name | ANNA L KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134854) |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2022-09-15 |