NPI | 1437498292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11001641) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001641) |
374U00000X Home Health Aide | |
171M00000X Case Manager/Care Coordinator | |
163W00000X Registered Nurse (Licence: FL RN9428626) | |
Enumeration Date | 2013-02-13 |
Last Update Date | 2024-05-25 |