| NPI | 1821147646 |
|---|---|
| Former Name | KATHRYN LYNN MULDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004253) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI MI4901004253) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-10-22 |