| NPI | 1215193628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 230630) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 230630) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |