| NPI | 1235648148 |
|---|---|
| Former Name | CHARIS WILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016356A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP10566) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-03-05 |