| NPI | 1689078008 |
|---|---|
| Former Name | CHARLEE K DALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 309515-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 309515-4405) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2020-03-31 |