| NPI | 1346129798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NV 813127) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NV 813127) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |