Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2005019550 | MO |
NPI | 1003977232 |
---|---|
Provider Name | Dr. Sarah Beth Hirsch |
First Address | Ballwin, MO 63011-2172 |
Second Address | Webster Groves, MO 63119-3839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 14/10/2016 |