| NPI | 1992057236 |
|---|---|
| Former Name | SARAH JEANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND ND739) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD SD720) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2015-12-14 |