| NPI | 1619748779 |
|---|---|
| Former Name | MICHELLE ELAINE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4008833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY KY46199) |
| 207R00000X Internal Medicine (Licence: KY KY45185) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-05-23 |