NPI | 1902131170 |
---|---|
Former Name | SARA JEANNETTE TOFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0102204017) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV SL0803) |
207Q00000X Family Medicine (Licence: FL UO2252) | |
Enumeration Date | 2009-10-06 |
Last Update Date | 2015-02-04 |