| NPI | 1699084244 |
|---|---|
| Former Name | LISA MICHELLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60466554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015250) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2022-01-11 |