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 |