| NPI | 1649535816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NC 4281) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: SC 1816) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2013-03-28 |