NPI | 1851040760 |
---|---|
Former Name | KARI ELISE HOFFMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: SC 1088) |
Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens (Licence: SC 545) |
Enumeration Date | 2022-03-20 |
Last Update Date | 2023-09-12 |