| NPI | 1497799118 |
|---|---|
| Former Name | CANDACE MICHELLE HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 23960) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 01607) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40661) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-12-29 |