| NPI | 1326251208 |
|---|---|
| Former Name | CANDICE LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N7984) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01066092a) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-05-25 |