| NPI | 1417046459 |
|---|---|
| Former Name | COURTNEY MARIE KOEHNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 178921) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-06-12 |