NPI | 1962598730 |
---|---|
Other Name | GERARD J BISANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 1784) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: MA 1859) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2008-12-30 |