| NPI | 1578792388 |
|---|---|
| Former Name | KATIE RENEE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0055722) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.206023) |
| 207W00000X Ophthalmology (Licence: MS AU5009697-1599) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-04-20 |