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 |