| NPI | 1639496599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS00000117) |
| Additional Taxonomies | 222Z00000X (Licence: WA OI00000116) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2011-10-21 |