Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 0101264510 | VA |
NPI | 1023405560 |
---|---|
Provider Name | Kristine Elizabeth Gade |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2015 |
Last Update Date | 19/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023405560 | (05) | VA |