| NPI | 1124539572 |
|---|---|
| Former Name | BRIDGET C. VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002109) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1026441) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-02-19 |