| NPI | 1356669782 |
|---|---|
| Former Name | MARICHAL SHANTELLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704236542) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2020-12-08 |