| NPI | 1053755181 |
|---|---|
| Former Name | CHARLOTTE AMY GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC CCNA5233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2282749) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2019-08-13 |