| NPI | 1699980615 |
|---|---|
| Former Name | KIMBERLY J. KOTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0435047) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036154186) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020041376) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2025-07-23 |