| NPI | 1871517706 |
|---|---|
| Former Name | JANET YOUNGBLOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-08-0408-H) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38149) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-10-29 |