NPI | 1497040471 |
---|---|
Former Name | KELLY LYNN GROPPI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P3913) |
Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: TX MD154124) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2021-10-14 |