NPI | 1750112918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator |
Additional Taxonomies | 172V00000X Community Health Worker |
374U00000X Home Health Aide | |
376J00000X Homemaker | |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |