| NPI | 1164961355 |
|---|---|
| Former Name | KATHLEEN KOGUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist Computed Tomography (Licence: AZ CTCT-31007) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ 468530) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |