NPI | 1295964757 |
---|---|
Former Name | CANDACE YVONNE WILLIAMS-COVINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX N3581) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP20033615) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2014-09-29 |