| NPI | 1053661769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NY #007257-1) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: NJ #29V100587400) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |