| NPI | 1700951837 |
|---|---|
| Former Name | SHANNA R YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: SC 102) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 004391) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2024-05-28 |