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 |