| NPI | 1659811057 |
|---|---|
| Former Name | CHARLA MIXON BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN9166078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9166076) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-01-31 |