NPI | 1235141698 |
---|---|
Former Name | SARAH LYNN ENGSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ND 667) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3055) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2022-04-04 |