| NPI | 1306170402 |
|---|---|
| Former Name | BRENDA KOSCHITZKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543750) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2019-04-25 |