NPI | 1194164863 |
---|---|
Former Name | HOLLY R YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004525A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28132047A) |
363L00000X Nurse Practitioner (Licence: IN 71004525A) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2023-01-03 |