| NPI | 1346954450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: TN 120932) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TN 120932) |
| 376K00000X Nurse's Aide (Licence: TN 120932) | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |