| NPI | 1629312756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: VA 0301201937) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: WV 01-2009) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |