| NPI | 1841774841 |
|---|---|
| Former Name | CHARLENE EARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 261438) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 261438) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-10-09 |