| NPI | 1831556018 |
|---|---|
| Former Name | CHARLA CANDACE WAUQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 212001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK r0080885) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2023-05-03 |