| NPI | 1265769475 |
|---|---|
| Former Name | CANDICE LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 249025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 38473) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2025-05-08 |