| NPI | 1164723656 |
|---|---|
| Professional Name | GERALYN SUE PRULLAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209008472) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 041207587) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2021-12-28 |