| NPI | 1033875240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: WA OI61230221) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PS61132736) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |