| NPI | 1972874352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: MO 2001025597) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: IL 090008503) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2022-07-21 |