NPI | 1811371602 |
---|---|
Former Name | SARAH ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2422DT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006676) |
Enumeration Date | 2015-07-12 |
Last Update Date | 2025-10-07 |