Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 57571 | AZ |
NPI | 1164839429 |
---|---|
Provider Name | Christine Hope Umandap |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85013-4360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2014 |
Last Update Date | 24/07/2019 |