NPI | 1033159348 |
---|---|
Former Name | KIERSTEN DUMLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: MI 4901004219) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004219) |
152WV0400X Optometrist, Vision Therapy (Licence: MI 4901004219) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2013-06-25 |