| NPI | 1255996898 |
|---|---|
| Former Name | CHANTIEL ALEXIS UMBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018922) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018922) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018922) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA SP018922) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-03-01 |