NPI | 1336579796 |
---|---|
Former Name | CANDACE ENGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008356) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008800) | |
Enumeration Date | 2013-11-22 |
Last Update Date | 2023-07-11 |