NPI | 1477815744 |
---|---|
Former Name | SARAH SWEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2015004680) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010536) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2020-06-10 |