| NPI | 1174132294 |
|---|---|
| Former Name | HEATHER C YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61080272) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP61080272) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-12-30 |