| NPI | 1699290684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA 60764098) |
| Additional Taxonomies | 222Z00000X |
| 222Z00000X (Licence: WA 60816058) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2020-01-22 |