| NPI | 1790582286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: NE H13851949) |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide (Licence: NE H13851949) | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-06 |