| NPI | 1346533445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS60214748) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI60214664) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |