| NPI | 1548024581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: WA 61311103) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA 61467742) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |