NPI | 1538450127 |
---|---|
Former Name | SARAH ELIZABETH CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: WA OI60223048) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PS60223055) |
Enumeration Date | 2011-04-29 |
Last Update Date | 2013-01-11 |