| NPI | 1427311323 |
|---|---|
| Former Name | VICKIE LYNN YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 478956 20874) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2022-07-21 |