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 |