| NPI | 1770086431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS60912047) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI.60810115) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-09-17 |