| NPI | 1043506595 |
|---|---|
| Former Name | KENDRA DENISE CLEMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME136932) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME136932) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-04-02 |