| NPI | 1750782363 |
|---|---|
| Former Name | NATALIE FAE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1749) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 2014006541) |
| 363L00000X Nurse Practitioner (Licence: MN CNP1749) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2020-08-10 |