| NPI | 1720305733 |
|---|---|
| Former Name | CANDICE ALLEN-JARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX Q9109) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-11-22 |