| NPI | 1548526957 |
|---|---|
| Former Name | CHARLOTTE ANN MEDLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9473235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009456) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-03-29 |