NPI | 1821753765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1039623) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: DC RN1039623) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1039623) | |
253Z00000X In Home Supportive Care (Licence: DC RN1039623) | |
Enumeration Date | 2021-11-05 |
Last Update Date | 2024-09-19 |