| NPI | 1326558503 |
|---|---|
| Former Name | CHARISSA BOHNBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018178) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN600680) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-02-19 |