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 |