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 |