| NPI | 1215203534 |
|---|---|
| Former Name | KATIE LYNN WETSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A143601) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NV 28841) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2026-03-26 |