| NPI | 1275370512 |
|---|---|
| Former Name | ELENA PRUGLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11032970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032970) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-08-26 |