| NPI | 1639442957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: AZ 6164) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: FL VM9862) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-11-05 |