| NPI | 1053141028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 479662) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |