| NPI | 1215175633 |
|---|---|
| Other Name | LISA R YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 002317) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 002317) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |