NPI | 1811418619 |
---|---|
Former Name | SAISSY E YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021710) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 366757) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-02-22 |