| NPI | 1366706012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WA VT 60269832) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 18524) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-01-08 |