| NPI | 1720252190 |
|---|---|
| Former Name | JESSICA KOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2015021373) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2015021373) |
| 207R00000X Internal Medicine (Licence: MO 2015021373) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-04-21 |