| NPI | 1528359825 |
|---|---|
| Former Name | CANDICE MARIE PFIESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 01630) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004431) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-03-24 |