| NPI | 1285967778 |
|---|---|
| Former Name | GERALDINE CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00493700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN153881) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336432-1) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-10-21 |