| NPI | 1376255661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: SC 232518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 232518) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: SC 232518) | |
| 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: SC 232518) | |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: SC 232518) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-01-03 |