NPI | 1609506732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: LA 325110) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-06-13 |
Last Update Date | 2023-11-06 |