| NPI | 1467594150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| 163WH1000X Registered Nurse Hospice | |
| 163WR0006X Registered Nurse Registered Nurse First Assistant | |
| 251E00000X Home Health | |
| 372600000X Adult Companion | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |