| NPI | 1912785205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CO RN.1624837) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO RN.1624837) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1624837) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |