| NPI | 1346538964 |
|---|---|
| Former Name | KRISTINE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60986007) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3235) |
| 363A00000X Physician Assistant (Licence: AK 135878) | |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2024-06-20 |