NPI | 1306074869 |
---|---|
Former Name | SARAH MICHELLE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003599A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003599B) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2015-10-20 |