NPI | 1538756432 |
---|---|
Former Name | CHELSEA LYNNE UMPLEBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01089800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022137) |
Enumeration Date | 2020-12-25 |
Last Update Date | 2021-03-22 |