| NPI | 1720233125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: WA OI00000008) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: WA PS00000009) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |