NPI | 1699330910 |
---|---|
Former Name | DAJAUNA F YOUNG-WIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009077A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018840) |
Enumeration Date | 2019-05-02 |
Last Update Date | 2020-03-09 |