NPI | 1235609819 |
---|---|
Former Name | ANTOINETTE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018383) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IL 209018383) |
Enumeration Date | 2018-11-27 |
Last Update Date | 2019-01-10 |