| NPI | 1760776629 |
|---|---|
| Former Name | KATELYN WOOLFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101252330) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D79289) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-04-15 |