| NPI | 1881230233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS60774668) |
| Additional Taxonomies | 222Z00000X (Licence: WA OI60830371) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |