| NPI | 1689649410 |
|---|---|
| Former Name | JULIE MARIE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL 3638) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA 3638) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-02-09 |