| NPI | 1508060237 |
|---|---|
| Professional Name | OTERIA RANDALL KOAYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 15439) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |