| NPI | 1710221700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: AZ 6224) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: WA VT 60304234) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-03-26 |