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 |