| NPI | 1750764288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: TN DV0000005515) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: MD 5074) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |