| NPI | 1639512874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: UT 8472652-2801) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 19092) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |