NPI | 1659529345 |
---|---|
Former Name | KATHLEEN E YONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60400436) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007234) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2016-03-22 |