| NPI | 1689224958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA 60650522) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA 60705149) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |