| NPI | 1962673160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: WA OI60003855) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA OI60003855) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-04-03 |