NPI | 1114525953 |
---|---|
Former Name | JENNIFER MELISSA YUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180808) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001296887) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2024-01-31 |