| NPI | 1851700686 |
|---|---|
| Former Name | CANDICE PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000773) |
| Additional Taxonomies | 208VP0000X (Licence: DE LG-0000773) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2025-11-19 |