NPI | 1033008016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NE 70276) |
Additional Taxonomies | 372500000X Chore Provider |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |