NPI | 1942977400 |
---|---|
Former Name | ELIZABETH MARIE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029125) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2024-10-28 |