| NPI | 1558918532 |
|---|---|
| Former Name | CANDICE M COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: IN 120451) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |