| NPI | 1992997019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: WA PS00000389) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: WA OI00000361) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2009-10-08 |