| NPI | 1104282656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: FL VM13586) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA VET 21240) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |