NPI | 1972271435 |
---|---|
Former Name | AUBRIE SMALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11585476-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 11585476-3102) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2024-01-03 |