| NPI | 1518228154 |
|---|---|
| Former Name | JUDITH P KOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: CA G22685) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G22685) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |