| NPI | 1902169535 |
|---|---|
| Former Name | CANDACE ADAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 744483) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP121590) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-04-06 |