| NPI | 1174905996 |
|---|---|
| Former Name | CARLEIGH B KOENCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7479) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2019-09-18 |