| NPI | 1780086405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: IL 090.009818) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: MN 04399) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |