| NPI | 1194957340 |
|---|---|
| Former Name | LINDA SROUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2168) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MD TA2168) |
| 152WV0400X Optometrist, Vision Therapy (Licence: MD TA2168) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-09-11 |