| NPI | 1568171403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: WA 61291624) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA 61291625) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |