| NPI | 1659308583 |
|---|---|
| Former Name | CANDACE ALANNA CLARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.200544) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD429045) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2010-03-03 |