| NPI | 1386104750 |
|---|---|
| Former Name | KIMBERLIE DAWN KOECHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2023010356) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 0548023) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-10-13 |