| NPI | 1447758578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001264587) |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |