| NPI | 1962891739 |
|---|---|
| Former Name | KATHERINE BRUKSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036157410) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.066337) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL B62050589644) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2021-09-23 |