| NPI | 1730405044 |
|---|---|
| Former Name | ANGELA MICHELLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-004595) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02143) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2015-07-08 |