| NPI | 1558597153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS60078067) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI60026714) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2012-09-10 |