NPI | 1104117654 |
---|---|
Former Name | CANDICE K. CULPEPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD211897) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258581) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2023-02-10 |