Proofread sentence and insert punctuation as required.

This is an irate boisterous 46-year old lady who complains that she was hit in the face with the heel of a womans' shoe.

Answer:

comma after irate
woman's ? not sure - I don't even think it needs any apostrophes.

Your comma choice is correct.

And, yes, it needs to be woman's shoe. One woman, one shoe, right?

46-year-old

shouldn't there be another comma after boisterous..???

This is an irate, boisterous 46-year-old lady who complains that she was hit in the face with the heel of a woman's shoe.

Explanation:
- The sentence needs a comma after the word "irate" to separate the adjectives "irate" and "boisterous."
- The phrase "46-year-old" requires hyphens to connect the words and indicate that they are part of a compound adjective modifying the noun "lady."
- The possessive form of "woman" requires an apostrophe, so it should be "woman's."