| NPI | 1245988161 | 
|---|---|
| Other Name | EMANUELLE VASCONCELOS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020243) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95020243) | 
| Enumeration Date | 2022-03-10 | 
| Last Update Date | 2023-04-19 |