| NPI | 1952198129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 602447840122) |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |