| NPI | 1114161254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL CNA 148312) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 186785) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |