| NPI | 1770261042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |