| NPI | 1164020426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS61063626) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI61069107) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-01-11 |