NPI | 1366063042 |
---|---|
Former Name | TAYLOR ANN YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R42456) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R42456) |
363LF0000X Nurse Practitioner, Family (Licence: MN 7208) | |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-08-18 |