| NPI | 1073903027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: TX 11643) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 10782) |
| 174M00000X Veterinarian (Licence: AK 718) | |
| 174M00000X Veterinarian (Licence: IA 8018) | |
| 174M00000X Veterinarian (Licence: WI 6139) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |