NPI | 1174132294 |
---|---|
Former Name | HEATHER C YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61080272) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61080272) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61080272) | |
Enumeration Date | 2020-07-24 |
Last Update Date | 2025-05-02 |