| NPI | 1013166651 |
|---|---|
| Former Name | SARAH BROSTKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2925) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010480) |
| 152W00000X Optometrist (Licence: FL OPC4300) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-01-27 |