| NPI | 1578087730 |
|---|---|
| Former Name | KERI DIANE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0089649) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OK 89649) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-12-30 |