| NPI | 1598227779 |
|---|---|
| Former Name | CANDYCE MUSGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 204527) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-06-18 |