| NPI | 1609637404 |
|---|---|
| Former Name | ASHLEY NICOLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 732389) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-02-01 |