| NPI | 1083013221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NC 7866) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: TX 13305) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |