NPI | 1215498654 |
---|---|
Former Name | AUBREE TERIBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NV 816520) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 816520) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2023-04-19 |