| NPI | 1114261989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: VA 0301203378) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: PA BV012315) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |