| NPI | 1073959623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: VA 0301203150) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: PA BV013424) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |