| NPI | 1669366324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: WA OI61431449) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PS61583072) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |