NPI | 1679066187 |
---|---|
Former Name | VIRGINIA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101284965) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018018344) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2025-03-18 |