| NPI | 1104221043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WA VT60241409) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 19380) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-01-12 |