| NPI | 1396749867 |
|---|---|
| Former Name | KATHRYN BOSSOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 38664) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 15333) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018036777) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU MC-166) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 11561C) | |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2023-12-28 |