| NPI | 1962811604 |
|---|---|
| Former Name | CLAIRE ELENA GALLUZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5867-33) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-08-27 |