| NPI | 1134512197 |
|---|---|
| Former Name | ELIZABETH ANN YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C05721) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA006216) |
| 363A00000X Physician Assistant (Licence: MD C0005721) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-09-08 |