NPI | 1508146663 |
---|---|
Former Name | SARAH ELIZABETH BREHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4676) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007767) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2017-10-04 |