| NPI | 1760770358 |
|---|---|
| Former Name | KANDICE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 744114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991733-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0991733-C-NP) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-07-01 |