| NPI | 1619595147 |
|---|---|
| Former Name | CANDACE S SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN27730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN27730) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-12-29 |