| NPI | 1922235787 |
|---|---|
| Former Name | CANDICE ANN MCKEARIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 31842) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 31842) |
| 208000000X Pediatrics (Licence: SC 31842) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-06-08 |