| NPI | 1619613700 |
|---|---|
| Former Name | ROCHELLE KAY KOSHALEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14105) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: WI 5885-23) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-07-25 |