| NPI | 1407716731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: WA ORTH.OI.70065296) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PROS.PS.70065295) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |