NPI | 1164610564 |
---|---|
Former Name | KRISTEN JEAN YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IN 09000143A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 09000143A) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2023-03-13 |