| NPI | 1083744841 |
|---|---|
| Other Name | SALLIE ANN HONORA CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 4399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 63790) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-05-18 |