| NPI | 1124594999 |
|---|---|
| Former Name | CANDACE RACHEL SKULKETY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02497) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3270) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2021-08-09 |