NPI | 1043917040 |
---|---|
Former Name | EMMA MANGYAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-184331) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 2024070885) |
Enumeration Date | 2023-02-09 |
Last Update Date | 2025-04-09 |