NPI | 1356879266 |
---|---|
Former Name | BRITTANY R KOEHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.015207) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 064236) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2021-07-19 |