| NPI | 1336124072 |
|---|---|
| Former Name | PENNY L CHARRANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059023-23) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-08-17 |