| NPI | 1598875049 |
|---|---|
| Former Name | ANGELA LYNN SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901004369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004369) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-05-16 |