| NPI | 1598945073 |
|---|---|
| Former Name | CHARLENE ANN WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-32778) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KS 04-32778) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-08-21 |