NPI | 1124780135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: DC HhA200001408) |
163WS0200X Registered Nurse, School (Licence: DC HhA200001408) | |
Enumeration Date | 2021-10-07 |
Last Update Date | 2024-12-06 |