NPI | 1740410257 |
---|---|
Former Name | LAURA KAY YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60107157) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-100522) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2014-04-10 |