| 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 |