| NPI | 1780711226 |
|---|---|
| Former Name | SAMANTHA SUZANNE KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP2199) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2199) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-07-01 |