| NPI | 1164850137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WA vt60410284) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: OR 5806) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |