| NPI | 1154196186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: TX 022667) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: TX 022667) |
| 376J00000X Homemaker (Licence: TX 022667) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |