| NPI | 1700180767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WI 5102-050) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: AZ 3800) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |