| NPI | 1902249642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: UT 7272151-2801) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 15897) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |