NPI | 1861669806 |
---|---|
Other Name | JESSICA MARIE KOENIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 193532) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9310689) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2015-11-04 |