| NPI | 1275706608 |
|---|---|
| Former Name | JACQUELINE LYNN YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR MD156781) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036123626) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA MD60299784) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2024-01-31 |