| NPI | 1831519826 |
|---|---|
| Former Name | CANDICE WEINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R8844) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R8844) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-10-14 |