NPI | 1457614463 |
---|---|
Former Name | KATE SPOLTMAN MAKOCY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: WI 52) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NC 1469) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2018-09-07 |