| NPI | 1790830404 |
|---|---|
| Former Name | CANDICE ELIZABETH ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00835400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 653544) |
| 363L00000X Nurse Practitioner (Licence: CA 23718) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23718) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-04-20 |