| NPI | 1649903352 |
|---|---|
| Former Name | CANDACE MACHELLE GILMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: AZ RN189909) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |