| NPI | 1780063529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: UT 9377389-2801) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: NC 8028) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |