| NPI | 1922471499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: CT CT 3415) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: MA MA 6603) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |