| NPI | 1992962401 |
|---|---|
| Former Name | CANDICE SALLY CHORLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 47247) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-01-21 |