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 |