| NPI | 1386067338 |
|---|---|
| Former Name | KELLEY MAI YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013672) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128903) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-01-06 |