NPI | 1790323301 |
---|---|
Former Name | LAURA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209020848) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041415410) |
Enumeration Date | 2019-12-13 |
Last Update Date | 2021-04-15 |