| NPI | 1861676504 |
|---|---|
| Former Name | JULIE M BUMBALOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 7517) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 7517) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2021-03-31 |