| NPI | 1437311354 |
|---|---|
| Former Name | CANDICE ELIZABETH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-36466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407020) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-04-23 |