| NPI | 1699166892 |
|---|---|
| Former Name | BRENNA KATHLEEN KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 277-004084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012491) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2025-07-03 |