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 |