| NPI | 1831576099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: CA 18841) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: IL 090010907) |
| 174M00000X Veterinarian (Licence: MA 7040) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |