NPI | 1306281225 |
---|---|
Former Name | NAOMI LENA KOESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T2831) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A146898) |
208000000X Pediatrics (Licence: CA A146898) | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2021-12-02 |