NPI | 1982084927 |
---|---|
Former Name | CANDACE ADRIANE RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.143557) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.143557) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2022-05-25 |