| NPI | 1306044631 |
|---|---|
| Former Name | AUDREY LAVON HINSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist Ocularist |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| 246RM2200X Technician, Pathology Medical Laboratory | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-09 |