| NPI | 1003104365 |
|---|---|
| Former Name | SANDRA K SEAGRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006551) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002911) |
| 152W00000X Optometrist (Licence: SC 1903) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-05-12 |