| NPI | 1346347762 |
|---|---|
| Former Name | CANDACE RAINELLE CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN 9245885) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |