| NPI | 1992124622 |
|---|---|
| Former Name | RUNAKO JADAGU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 291371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP125465) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 125465) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 125465) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125465) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-07-27 |