NPI | 1760137541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD CNA20220033) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MD CNA20220033) |
Enumeration Date | 2022-02-19 |
Last Update Date | 2022-03-14 |