| NPI | 1467594150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 100003588) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 100003588) |
| 163WH1000X Registered Nurse, Hospice (Licence: VA 100003588) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: VA 100003588) | |
| 251E00000X Home Health (Licence: VA 100003588) | |
| 372600000X Adult Companion (Licence: VA 100003588) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: VA 100003588) | |
| 374U00000X Home Health Aide (Licence: VA 100003588) | |
| 376J00000X Homemaker (Licence: VA 100003588) | |
| 376K00000X Nurse's Aide (Licence: VA 100003588) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |