NPI | 1811318603 |
---|---|
Former Name | IRIS YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011032) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209011032) |
Enumeration Date | 2013-12-20 |
Last Update Date | 2021-07-26 |