| NPI | 1063683829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: GA VET005217) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: WA VT60366136) |
| 174M00000X Veterinarian (Licence: OR 7071) | |
| 174M00000X Veterinarian (Licence: NC V7715) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2014-01-08 |