Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OD60164480 | WA |
NPI | 1013221829 |
---|---|
Provider Name | Sarah Youssef Makari |
First Address | Mill Creek, WA 98012 |
Second Address | Mill Creek, WA 98012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2010 |
Last Update Date | 24/09/2010 |