NPI | 1902157274 |
---|---|
Former Name | CHRISTINE S. YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382352-1) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 597989) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2016-03-10 |