NPI | 1336166818 |
---|---|
Former Name | LINDA HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1693DT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4758) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-11-27 |