| NPI | 1043234040 |
|---|---|
| Former Name | CANDICE LYNN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AZ 35595) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 35595) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-03-17 |