| NPI | 1619371093 |
|---|---|
| Former Name | COLLEEN ALLERTON YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9111288) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 004185) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2019-11-06 |