| NPI | 1366755373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS00000099) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI00000100) |
| 225000000X Orthotic Fitter (Licence: WA PS00000099) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-01-10 |