| NPI | 1164680070 |
|---|---|
| Former Name | CANDICE ANNE MARCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A140377) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A140377) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A140377) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-06-18 |