| NPI | 1689403453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: TX 023182) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: TX 023182) |
| 376J00000X Homemaker (Licence: TX 023182) | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |