| NPI | 1316416696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: PR 34942a) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PR 34942a) |
| 171000000X Military Health Care Provider (Licence: PR 34942a) | |
| 174H00000X Health Educator (Licence: PR 34942) | |
| 172A00000X Driver (Licence: PR 34942a) | |
| 372500000X Chore Provider (Licence: PR 34942a) | |
| 372600000X Adult Companion (Licence: PR 34942a) | |
| 374U00000X Home Health Aide (Licence: PR 34942a) | |
| 376G00000X Nursing Home Administrator (Licence: PR 34942a) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |