NPI | 1053754051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: NH 2174) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: NY 011973) |
174M00000X Veterinarian (Licence: NJ 29VI00613900) | |
174M00000X Veterinarian (Licence: MA 7193) | |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |