| NPI | 1316965700 |
|---|---|
| Former Name | CHERYL A. KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 32948) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 71761) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35C.001086) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01091882A) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-16 |