| NPI | 1104704105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |