| NPI | 1699193714 |
|---|---|
| Former Name | KATHRYN THERESE KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.143817) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.143817) |
| 207N00000X Dermatology (Licence: MN 60894) | |
| 207N00000X Dermatology (Licence: MA 264341) | |
| 207N00000X Dermatology (Licence: ND 17530) | |
| 207R00000X Internal Medicine (Licence: IL 125064553) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2023-09-20 |