| NPI | 1891015376 | 
|---|---|
| Former Name | CHARLA JO WARDLON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 9373487ARNP) | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OK 95687) | 
| Enumeration Date | 2010-06-07 | 
| Last Update Date | 2023-04-04 |