| NPI | 1043917040 |
|---|---|
| Former Name | EMMA MANGYAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 38609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-184331) |
| 363L00000X Nurse Practitioner (Licence: AL 2024070885) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-06-13 |