| NPI | 1518886936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| 376J00000X Homemaker | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-10 |