| NPI | 1770941841 |
|---|---|
| Former Name | CARRIE MARIE UMBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 324102) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2459) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2020-12-17 |