NPI | 1003866567 |
---|---|
Former Name | LAURA A YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN.347991) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 131400) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2011-05-24 |