Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | MA058023 | PA |
NPI | 1437509288 |
---|---|
Provider Name | Ms. Natalie Marie Dupre |
First Address | Pittsburgh, PA 15224-2156 |
Second Address | Pittsburgh, PA 15224-2156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2016 |
Last Update Date | 13/12/2021 |