| NPI | 1336350263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: CT HCA0000170) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CT HCA0000170) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-05-14 |