| NPI | 1306683255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN WIND SHARP Photorealistic Areola Specialist 417-763-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-31 |