NPI | 1477843134 |
---|---|
Former Name | LAUREN ELIZABETH KOEHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX S6636) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S6636) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2022-01-27 |