| 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 |