| NPI | 1043961246 |
|---|---|
| Former Name | CANDACE NICOLE DIEMART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-80820-112) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-10-10 |