| NPI | 1821548579 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 172A00000X Driver | |
| 1744G0900X Specialist, Graphics Designer | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2024-07-03 |