| NPI | 1447601141 |
|---|---|
| Former Name | MARTHA KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 7764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 7764) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-08-06 |