| NPI | 1487854840 |
|---|---|
| Former Name | SUELLEN CANDICE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX N4915) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0017648) |
| 208600000X Surgery (Licence: TX BP1-0017648) | |
| 208600000X Surgery (Licence: TX N4915) | |
| 208600000X Surgery (Licence: AR E-6061) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2018-03-17 |