| NPI | 1811371602 |
|---|---|
| Former Name | SARAH ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 2017-IOD1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006676) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2018-11-29 |