| NPI | 1881161768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NV 873797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 873797) |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-11-08 |