| NPI | 1760084081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-30 |