| NPI | 1518663616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN 1067235) |
| Additional Taxonomies | 251E00000X Home Health |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-06 |