| NPI | 1023383262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 7815) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 18896) |
| 174M00000X Veterinarian (Licence: FL VM11698) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2016-03-15 |