| NPI | 1497268635 |
|---|---|
| Former Name | CANDICE PRISCILLA GREGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9324581) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9324581) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2021-06-02 |