| NPI | 1720052343 |
|---|---|
| Former Name | CAROLYN MARIE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R 142851-3) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R1428513) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-07-14 |