| NPI | 1184180093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL 195341) |
| Additional Taxonomies | 372500000X Chore Provider |
| 374700000X Technician | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |