| NPI | 1811037245 |
|---|---|
| Former Name | CANDIS M THACKARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N3845) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-08-14 |