NPI | 1184391161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: A00176059) |
Additional Taxonomies | 376K00000X Nurse's Aide |
374U00000X Home Health Aide (Licence: A00176059) | |
Enumeration Date | 2021-08-26 |
Last Update Date | 2021-09-02 |