| NPI | 1932690294 |
|---|---|
| Former Name | NICOLE MARIE CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: KY 59604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76837) |
| 207W00000X Ophthalmology (Licence: KY 59604) | |
| 207W00000X Ophthalmology (Licence: CA A179129) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-07-31 |