NPI | 1013939560 |
---|---|
Former Name | CANDACE LYNN MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX r2781) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 023916) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-04-04 |