NPI | 1881978112 |
---|---|
Former Name | MIALA R YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003730A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003730) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2023-09-27 |