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 |