| NPI | 1154710119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS60564404) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 208354) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: OR 139964) | |
| 222Z00000X Orthotist (Licence: WA OI 60474160) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-01-17 |