| NPI | 1356190268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL RN9658795) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9658795) |
| 374U00000X Home Health Aide (Licence: FL RN9658795) | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-21 |