| NPI | 1578659876 |
|---|---|
| Former Name | NIKKI L. SARTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1731) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001469) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |