NPI | 1538435482 |
---|---|
Former Name | CANDACE PATRICE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 1087) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ID DO06129) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2023-10-02 |