| NPI | 1477902005 |
|---|---|
| Former Name | CHARLENE HARDISTER, PHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CO 100017 CNS) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2016-06-04 |