| NPI | 1720374408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WA VT00007420) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: OR 6742) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |