| NPI | 1235193137 |
|---|---|
| Former Name | TERESA I CANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 44824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 44824-20) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-06-18 |