Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901004170 | MI |
NPI | 1013007467 |
---|---|
Provider Name | Sandra Shina Hou |
First Address | Rochester Hills, MI 48309-3820 |
Second Address | Troy, MI 48084-7100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 08/07/2007 |