NPI | 1215226469 |
---|---|
Former Name | KAELAN DENDY YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: VA 0101263011) |
Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: OR MD223309) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2025-08-29 |