| NPI | 1750741500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: MA 5126) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: ME VT 1751) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |