| NPI | 1437498292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11001641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9428626) |
| 171M00000X Case Manager/Care Coordinator | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001641) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: FL APRN11001641) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2024-11-01 |