| NPI | 1780954107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NJ 29VI00623200) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: PA BV011102) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |