| NPI | 1184338022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL 830533432) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL 830533432) |
| 376J00000X Homemaker (Licence: FL 830533432) | |
| 376K00000X Nurse's Aide (Licence: FL 830533432) | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |