| NPI | 1588320808 |
|---|---|
| Former Name | CHARLEE MARIE LOHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R1393266) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 117937) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-01-09 |