| NPI | 1235470147 |
|---|---|
| Former Name | THERESA RUGALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R184354) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012500) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2018-02-15 |