| NPI | 1902128358 |
|---|---|
| Former Name | CHARLOTTE ROSE PUTNAM-MAYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13790) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2024-03-06 |