| NPI | 1275098725 |
|---|---|
| Former Name | CHARLOTTE LYNN VANNORTWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 126326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243349) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2020-08-17 |