| NPI | 1922442094 |
|---|---|
| Former Name | CANDACE ANNE MCKINNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9263513) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9263513) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2023-04-05 |