| NPI | 1427360007 |
|---|---|
| Former Name | SARAH C REBENACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002187) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC sc1606) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2014-04-01 |