NPI | 1023612058 |
---|---|
Other Name | CANDACE SHARDAE ORR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-36459) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-136459) |
Enumeration Date | 2020-11-30 |
Last Update Date | 2023-08-11 |